Individual provider Active NPI

Katherine Harris Hanson, MSW, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1992331904
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013442 Issued in NC
Practice address
1042 Washington St
Raleigh, NC 27605-1258
Phone
(910) 264-4180
NPI assigned
Mar 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P013442 NC Primary

Addresses

Primary practice location

1042 Washington St
Raleigh, NC 27605-1258

Mailing address

5056 Edwards Mill Rd Apt D
Raleigh, NC 27612-4424
Phone (910) 264-4180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624002345 NC Practitioner - Clinical Social Worker 4486076288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina Therapy Professionals PLLCGroup PAC ID 1254795115, 6 clinicians

Practice addresses (Care Compare)

3326 Durham Chapel Hill Blvd
Suite 130B
Durham, NC 27707-6244
Phone (919) 267-1661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P013442NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clare a. Stadlen, LCSW, PLLC Clinical CurrentSince May 29, 2020 Accepting new patients
North Carolina Therapy Professionals, PLLC Clinical CurrentSince Jun 5, 2023 Accepting new patients

Locations

2310 S Miami Blvd
Ste 236
Durham, NC 27703
Phone (919) 602-6766

3326 Durham Chapel Hill Blvd
Ste 130B
Durham, NC 27707
Phone (919) 267-1661

3622 Lyckan Pkwy
Ste 3002
Durham, NC 27707
Phone (919) 602-6766

1042 Washington St
Raleigh, NC 27605
Phone (919) 608-0398

5002 Randall Pkwy
Ste 101
Wilmington, NC 28403
Phone (607) 483-3673

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1992331904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5056 EDWARDS MILL RD APT D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124424",
            "telephone_number": "910-264-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 WASHINGTON ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051258",
            "telephone_number": "910-264-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "KATHERINE",
        "middle_name": "HARRIS",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.